Name: FIRST MIDDLE LAST PAN / Date of Birth* / KYC Identification

Transcription

1 BNP PARIBAS BALANCED FUND (An open ended balanced scheme) This product is suitable for investors who are seeking*: Wealth creation in long term. Investment primarily in equity & equity-related securities and the rest in debt securities & money market instruments to generate income and capital appreciation *Investors should consult their fi nancial advisers if in doubt about whether the product is suitable for them. Name and AMFI Reg. No. Sub Agent s Name and AMFI Reg. No. Bank Serial No. SBFS Serial No. Sub-Broker Code EUIN (As allotted by ARN ARN- ARN- holder) Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors assessment of various factors including the service rendered by the distributor. I/We hereby confi rm that the EUIN box has been intentionally left blank by me / us as this transaction is executed without any interaction or advice by the employee / relationship manager / sales person of the above distributor / sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee / relationship manager / sales person of the distributor / sub broker. TRANSACTION CHARGES for Rs. 10,000 and above ( any one) (See Instruction on page 18) Existing Investor - Rs. 100 New Investor - Rs. 150 First / Sole Applicant / Guardian / POA Holder / Authorised Signatory Second Applicant / Guardian / POA Holder I confirm that I am a first time investor across Mutual Funds. I confirm that I am an existing investor in Mutual Funds. Third Applicant / Guardian / POA Holder 1. EXISTING INVESTOR'S FOLIO NUMBER Folio No. The details in our records under the Folio number mentioned alongside will apply for this application. 2. APPLICANT S INFORMATION First / Sole Applicant Mr. Ms. M/s. Minor Name: FIRST MIDDLE LAST PAN / Date of Birth* / KYC Identification PEKRN Incorporation D D M M Y Y Y Y * Required for First holder / Minor Number (KIN) Name of Guardian (in case of First / Sole Applicant is a Minor) / Name of Contact Person (incase of non-individual Investors) Mr. Ms Name: FIRST MIDDLE LAST Guardian KYC Identification PAN / PEKRN Contact No. Number (KIN) For Investment "on behalf of Minor" Birth Certifi cate School Certifi cate Passport O th e r Relationship with Minor (Mandatory) Father Mother Court Appointed Legal Guardian Mailing Address City State Pin Code (Mandatory) Country STD Code Tel. Off. Overseas Address (Mandatory for NRI / FII Applicant) (See Instruction 2.ai) on page 17) GO GREEN (Default mode of Communication) Mobile Tax Status: Individual Non-Individual Resident NRI-Repatriation NRI-Non Repatriation Sole-Proprietorship On Behalf of Minor NRI - On Behalf of Minor PIO / OCI HUF Others (Please Specify) Country Company Trust Society / Club Partnership / LLP AOP / BOI FPI Non Profi t Organisation Others (Please Specify) Occupation: Private Sector Service Public Sector Service Government Service Student Professional Housewife Business Retired Agriculturist Proprietorship Defence Others (Please Specify) Gross Annual Income (v) Below 1 Lac 1-5 Lacs 5-10 Lacs Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net worth v Second Applicant's Details Mode of Holding (please ) Joint # Anyone or Survivor ( # Default, in case of more than one applicant and not ticked) Name: Mr. Ms. FIRST MIDDLE LAST PAN / Date of Birth KYC Identification PEKRN DDMMYYYY Mobile Number (KIN) Occupation Pvt. Sector Service Pub. Sector Service Gov. Service Housewife Student Professional Housewife Business Retired Defence Agriculturist Forex Dealer Others Gross Annual Income (v) Below 1 Lac 1-5 Lacs 5-10 Lacs Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net worth v Third Applicant's Details Name: Mr. Ms. FIRST MIDDLE LAST PAN / Date of Birth KYC Identification PEKRN DDMMYYYY Mobile Number (KIN) Occupation Pvt. Sector Service Pub. Sector Service Gov. Service Housewife Student Professional Housewife Business Retired Defence Agriculturist Forex Dealer Others Gross Annual Income (v) Below 1 Lac 1-5 Lacs 5-10 Lacs Lacs > 25 Lacs - 1 Crore > 1 Crore OR Net worth v Additional Details Politically Exposed Person (PEP) Status : (Also applicable for authorised signatories / Promoters / Karta / Trustee / Whole time Directors) Are you / entity involved in any of the services mentioned below? If yes write down it in the following box First / Sole Applicant I am PEP I am Related to PEP Not Applicable Second Applicant I am PEP I am Related to PEP Not Applicable Third Applicant I am PEP I am Related to PEP Not Applicable Are you / entity involved in any of the following : Precious metals (in particular buying-selling Gold) and Gems Luxury Cars Boats Race-horses Jewellery Money Service Businesses (MSB) & their agents (excluding Banks) Currency dealers or Exchanges Sellers for redeemers of traveler s cheques Money Orders/Remittance services Pawn shops Street Market stall Hotels Restaurants Internet Cafes Door to door sales companies Taxi Bars Night Clubs Second hand Goods sales Second hand vehicle dealers (excluding Automobile Franchise) Casinos Lotteries Gambling Clubs Slot machines Antiques Art Galleries Art Dealers Auctioneer Art Expert None of the above 3. POWER OF ATTORNEY (PoA) HOLDER DETAILS (If the investment is being made by a Constituted Attorney, please furnish the details of PoA Holder) First / Sole Applicant Second Applicant Third Applicant) Mr. Ms. M/s. Others Name of PoA Holder PAN KYC Identifi cation Number (KIN) Enclosed PAN card proof KYC Confi rmation proof) APPLICATION FORM Investors must read the Key Information Memorandum and the instructions before completing this Form. The Application Form should be completed in English and in BLOCK LETTERS only. Non Individual investors should mandatorily fi ll separate FATCA / CRS & UBO declarations for Non-Individuals (Refer General Instructions 2 biv). Riskometer for the Scheme Investors understand that their principal will be at moderately high risk Application No. NFO Opens : March 17, 2017 NFO Closes : March 31, 2017 Scheme reopens for continuous sale and repurchase from : Within 5 Business Days from the date of allotment Signature of (PoA) Holder ACKNOWLEDGEMENT SLIP (To be filled in by the Applicant) BNP PARIBAS BALANCED FUND (An open ended balanced scheme) Received from Mr./Ms./M/s. an application for allotment of Units of the scheme BNP Paribas Balanced Fund (as mentioned overleaf) Plan Option along with Cheque / Demand Draft / Payment Instrument as detailed overleaf. Please Note : Application form received for purchase of units, subject to realization of payment instrument, verifi cation of application and conditions Application No. ISC Stamp, Date & Signature... continued overleaf

2 4. INVESTMENT & PAYMENT DETAILS : (Please ) (Refer Instruction 4 for Scheme details and Payment & Third Party Payment Details) The name of the first / sole applicant must be pre-printed on the cheque for lumpsum Investment / SIP Registration. Scheme Name Select your Plan Select your Option BNP PARIBAS BALANCED FUND Regular Plan Direct Plan Dividend Payout Dividend Reinvestment Growth Note: Multiple cheques not permitted with single application form. Note: For Default options, please refer KIM. For Lumpsum Investment Payment Type : Non-Third Party Payment Third Party Payment Please attach Third Party Payment Declaration Form Amount of Cheque / DD / Payment Instrument / RTGS / NEFT in figures (Rs.) DD Charges, if any Net Cheque / DD Amount Cheque / DD / Payment Instrument / UTR No. & Date Drawn on Bank / Branch Bank Account Number For Investment through SIP mode (Refer General Instruction 7) Payment Type : Non-Third Party Payment Third Party Payment Please attach Third Party Payment Declaration Form Each SIP Amount (Rs.) Frequency Weekly Monthly* Quarterly (*Default Frequency) SIP Date Weekly SIP (Monday to Friday): Day of transfer Monthly and Quarterly SIP: Preferred Debit Date (Any date except 29th, 30th and 31st) SIP Period Start From M M Y Y Y Y End on M M Y Y Y Y OR Until cancelled Cheque Amount^ (Rs.) First SIP Transaction via Cheque No. Cheque Dated D D M M Y Y Y Y Bank Mandatory Enclosure (for existing investors if 1st SIP installment is not by cheque) Blank cancelled cheque Copy of cheque Note for SIP through Auto Debit / Nach please also fi ll & attach SIP Registration cum Debt Mandate Form ^ The fi rst SIP cheque amount should be same as each SIP Amount 5. DEMAT ACCOUNT DETAILS (refer instruction 1f) National Securities Depository Ltd. Depository Participant Name Central Depository Services (India) Ltd. DP ID No. Benefi ciary Account No. Investor willing to invest in Demat option, may provide a copy of the DP Statement enabling us to match the Demat details as stated in the Application Form. In case the form is not fi lled, the default option will be physical mode. 6. BANK ACCOUNT DETAILS (See Instruction 3 on page 15) (Mandatory, as per SEBI Regulations) Bank Name Bank A/c. No. A/c. Type Savings Current NRE NRO FCNR Branch Name City Pin Code MICR Code (9 Digit No. next to your Cheque No.) IFSC Code 7. MANDATORY ONLY FOR CORPORATES / BANKS / FINANCIAL INSTITUTIONS A. Does your Company (including your offi ces/branches and your subsidiaries and/or their offi ces/branches) have ONLY domestic business transactions, investments and activities? Yes No B. In Cuba, Iran, Syria, North Korea, Crimea/Sevastopol and/or Sudan, does your Company have: 1) presence through offi ces or investments: (a) in these countries or, (b) in entities incorporated in these countries or, (c) In entities with shareholders of these countries? Yes No 2) transactions, activities or planned activities: (a) directly or indirectly with these countries or, (b) with any person or entity from these countries (located, resident, organized)? Yes No 8. FATCA DETAILS For Individual (Mandatory) Non Individual investors including HUF should Mandatorily fill separate FATCA detail form Details under Foreign Tax Laws: First / Sole Applicant / Guardian Second Applicant Third Applicant PoA Place & Country of Birth Nationality Indian US Indian US Indian US Others (Please Specify) Others (Please Specify) Others (Please Specify) Address Type Residential Registered Offi ce Business Residential Registered Offi ce Business Residential Registered Offi ce Business Are you a tax resident (i.e. are you assessed for Tax) in any other country outside India? Yes No (If Yes, please provide information below) Country of Tax Residency Tax Identifi cation Number or Functional Equivalent Identifi cation Type (TIN or Other, please specify) If TIN is not available, please tick Reason A B C (Please Specify) Reason A B C (Please Specify) Reason A B C (Please Specify) Country of Tax Residency Tax Identifi cation Number or Functional Equivalent Identifi cation Type (TIN or Other, please specify) If TIN is not available, please tick Reason A B C (Please Specify) Reason A B C (Please Specify) Reason A B C (Please Specify) Reason A: The country where Account Holder is liable to pay tax does not issue TIN to its residents Reason B: No TIN Required (Select this only if the authorities of the respective country of tax residents do not require the TIN to be collected) Reason C: others, please specify the reason above 9. NOMINATION - MANDATORY, even if no intention to nominate. Minor & PoA holder cannot nominate and should not fill this section (See Instruction 5 on page 16) 1. I/We do not wish to nominate SIGNATURE(S) First / Sole Applicant Second Applicant Third Applicant 2. Having read and understood the instruction for Nomination, I / We hereby nominate the person(s) more particularly described hereunder in respect of the Units under the Folio held by me/us in the event of my death. Nominee Name Date of Birth^ Allocation % # Guardian Signature^ Nominee 1 Nominee 2 Nominee 3 ^ In case Nominee is minor. # Please indicate the percentage of allocation / share for each of the nominees in whole numbers only without any decimals making a total of 100 per cent. 10. DECLARATION & SIGNATURES I / We am / are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I / We confi rm that my application is in compliance with applicable Indian and foreign laws. I / We hereby confi rm and declare as under:- I / We have neither received nor been induced by any rebate or gifts, directly or indirectly in making this investment. I / We hereby declare that I am / we are not a US person, within the meaning of the United States Securities Act, 1933, as amended from time to time; and that I am / we are not applying on behalf of or as proxyholders of a person who is a US person. I/We hereby declare that I am/ We are competent under the applicable laws and duly authorised where required,to make this investment in the above mentioned scheme. I / We confi rm that I am / we are not NRIs/PIOs residing in any of the prohibited / banned Countries mentioned in the SID/addendums to the SID. I / We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents and apply for allotment of Units of the BNP Paribas Balanced Fund (`the Scheme') of BNP Paribas Mutual Fund (`the Fund') indicated above. I/We hereby confi rm that the proposed investment is being made from known, identifi able and legitimate sources of funds /income of mine only and I am / we are the rightful benefi cial owner(s) of the funds and the resulting investments therefrom. The abovementioned investment does not involve and is not designed for the purpose of any contravention or evasion of any Act, Rules, Regulations, Notifi cations or Directions or of the provisions of any law in India including but not limited to The Income Tax Act, the Prevention of Money Laundering Act, 2002, The Prevention of Corruption Act, 1988 and /or any other relevant rules/ guidelines notifi ed in this regard or applicable laws enacted by the Government of India / any other regulatory body from time to time.i / we hereby understand and agree that if any of the aforesaid disclosures made/ information provided by me/us is found to be contradictory or non-reliable tothe above statements or if I / we fail to provide adequate and complete information, the AMC / Mutual Fund / Trustees reserve the right to not create a folio / account, reject the application / withhold the investments made by me / us and/or make disclosures and report the relevant details to the competent authority and take such other actions as may be required to comply with the applicable law as the AMC/ Mutual Fund/ Trustees may deem proper at their sole option. I / We hereby authorize the Fund, AMC and its Agents to disclose my / our details including investment details to my / our bank(s) /Fund s bank(s) and / or Distributor / Broker / Investment Advisor and to verify my / our bank details provided by me / us, or to disclose to such service providers as deemed necessary for conduct of business. I / We confi rm that I / We do not have any existing Micro SIP / Investments which together with the current application will result in aggregate investments exceeding Rs. 50,000/- in a fi nancial year or a rolling period of one year (Applicable for PAN exempt category of investors). I / We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions. The ARN holder (AMFI registered Distributor) has disclosed to me / us all the commissions (in the form of trail commission or any other mode), payable to him / them for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me / us. I/WE HEREBY CONFIRM THAT I / WE HAVE NOT BEEN OFFERED / COMMUNICATED ANY INDICATIVE PORTFOLIO AND / OR ANY INDICATIVE YIELD BY THE FUND / AMC / ITS DISTRIBUTOR FOR THIS INVESTMENT. I/We declare that the information provided in this form is, to the best of my knowledge and belief, accurate and complete and further agree to furnish such other further/additional information as may be required by the BNP Paribas Asset Management India Pvt Ltd (AMC) / Fund. I further undertake to advise the AMC /Mutual Fund/ Trustees promptly of any change in circumstances which causes the information contained herein to become incorrect and to provide the AMC /Mutual Fund/ Trustees with a suitably updated self-declaration within 30 days of such change in circumstances. I hereby declare that the AMC / Fund can provide my information to any institution /tax authorities / governmental body for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto. Additional declaration for NRIs only : I / We confi rm that I am / We are Non-Resident of Indian Nationality / Origin and I / We hereby confi rm that the funds for subscription have been remitted from abroad through normal banking channels or from funds in my / our Non-Resident External / Ordinary Account / FCNR Account. Additional declaration for Foreign Nationals Resident in India only: I/We will redeem my/our entire investment/s before I / We change my / our Indian residency status. I/We shall be fully liable for all consequences (including taxation) arising out of the failure to redeem on account of change in residential status. Additional declaration for NRIs / PIO / OCIs only: I / We am / are not prohibited from accessing capital markets under any order / ruling / judgment etc., of any regulation, including SEBI. I / We confi rm that my application is in compliance with applicable Indian and foreign laws. please ( ) Yes No If yes, ( ) Repatriation basis Non-Repatriation basis Dated First / Sole Applicant / Guardian / POA Holder / Authorised Signatory Second Applicant / Guardian / POA Holder Third Applicant / Guardian / POA Holder Scheme Name Select your Plan (Please ) Select your Option (Please ) BNP PARIBAS BALANCED FUND Regular Plan Direct Plan Dividend Payout Dividend Reinvestment Growth Cheque / DD / Payment Instrument No. & Date Drawn on (Bank & Branch) Amount in Figures (Rs.)

3 APPLICATION SUPPORTED BY BLOCKED AMOUNT (ASBA) FORM Please read ASBA instructions before filling the Form Application No. BNP PARIBAS BALANCED FUND (An open ended balanced scheme) This product is suitable for investors who are seeking*: Wealth creation in long term. Investment primarily in equity & equity-related securities and the rest in debt securities & money market instruments to generate income and capital appreciation * Investors should consult their fi nancial advisers if in doubt about whether the product is suitable for them. NFO Opens : March 17, 2017 NFO Closes : March 31, 2017 Scheme reopens for continuous sale and repurchase from : Within 5 Business Days from the date of allotment Riskometer for the Scheme Investors understand that their principal will be at moderately high risk ARN- Name and AMFI Reg. No. Sub Agent s Name and AMFI Reg. No. ARN- Bank Serial No. SBFS Serial No. Sub-Broker Code EUIN (As allotted by ARN holder) EUIN Declaration (only where EUIN box is left blank) (Refer General Instruction 1) I/We hereby confi rm that the EUIN box has been intentionally left blank by me / us as this transaction is executed without any interaction or advice by the employee / relationship manager / sales person of the above distributor / sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee / relationship manager / sales person of the distributor / sub broker. TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer General Instruction on page12) [Please ( ) any one] I confirm that I am a fi rst time investor across Mutual Funds. I confirm that I am an existing investor in Mutual Funds. In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable from the purchase / subscription amount and payable to the Distributor. Transaction Charges in case of investments through SIP / Micro SIP are deductible only if the total commitment of investment (i.e. amount per SIP / Micro SIP installment x No. of installments) amounts to Rs. 10,000/- or more and shall be deducted in 3-4 installments. Units will be issued against the balance amount invested. Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors assessment of various factors including the service rendered by the ARN Holder. Sign Here Sole/First Applicant/Guardian/Karta Sign Here Second Applicant Sign Here Third Applicant 1. APPLICANT S PERSONAL DETAILS (IN BLOCK LETTERS) Name First / Sole Applicant Second Applicant / Guardian / PoA Holder Third Applicant PAN Applicants must ensure that the sequence of the names as mentioned in the application form matches with that of bene ciary account held with the Depository Participant. 2. DETAILS OF BANK ACCOUNT FOR BLOCKING OF FUNDS Bank Account Number Bank Name Bank Address Account to be blocked (Rs. in fi gures) Account to be blocked (Rs. in words) Sub-Plan(s) / Option(s) Amount (in Rs.) ISIN Regular Plan - Growth Regular Plan - Dividend Payout / Reinvestment Direct Plan - Growth Direct Plan - Dividend Payout / Reinvestment Total Amount 3. DEMAT ACCOUNT DETAILS (MANDATORY) Please ( ) NSDL DP Name DP ID I N Beneficiary Account No. CDSL DP Name Beneficiary Account No. The investors shall receive payments of Redemption/Dividend proceeds in the Bank Account linked to the Demat A/c as mentioned above. BNP PARIBAS BALANCED FUND (An open ended balanced scheme) Received from ACKNOWLEDGEMENT SLIP (To be fi lled by the Applicant) Application No. ASBA Form Dated D D M M Y Y Y Y Amount to be Blocked (Rs.) SCSB (Bank & Branch) Bank Account No. Submission Date D D M M Y Y Y Y... continued overleaf

4 4. DECLARATIONS & SIGNATURES General Declaration: I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any regulation, including SEBI. I/We confi rm that my application is in compliance with applicable Indian and foreign laws. I /We hereby confi rm and declare as under:- (1) I / We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents (i.e. Scheme Information Document, Statement of Additional Information and Key Information Memorandum) and apply for allotment of Units of the BNP Paribas Balanced Fund ( the Scheme ) of BNP Paribas Mutual Fund ( the Fund ) indicated above. (2) I/We am/are eligible Investor(s) as per the scheme related documents and am/are authorised to make this investment as per the Constitutive documents / authorization(s). The amount invested in the Scheme is derived through legitimate sources only and is not held or designed for the purpose of contravention of any Act, Rules, Regulations or any statute or legislation or any other applicable laws or any Notifi cations, Directives of the provisions of the Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other applicable laws enacted by the Government of India from time to time. I/We confi rm that the funds invested in the Scheme, legally belongs to me/us. In event Know Your Customer process is not completed by me/us to the satisfaction of the Fund, I/we hereby authorize the Fund, to redeem the funds invested in the Scheme, in favour of the applicant, at the applicable NAV prevailing on the date of such redemption and undertake such other action with such funds that may be required by the law. (3) I / We have not received nor have been induced by any rebate or gifts, directly or indirectly, in making this investment. (4) The information given in / with this application form is true and correct and further agree to furnish such other further/additional information as may be required by the BNP Paribas Asset Management Private Limited (AMC) / the Fund and undertake to inform the AMC / the Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time. (5) That in the event, the above information and/or any part of it is/are found to be false/ untrue/misleading, I/We will be liable for the consequences arising therefrom. (6) I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any part of it including the changes/updates that may be provided by me/us to the Fund, its Sponsor/s, Trustees, AMC, its employees, agents and third party service providers, SEBI registered intermediaries for single updation / submission, any Indian or foreign statutory, regulatory, judicial, quasijudicial authorities / agencies including but not limited to Financial Intelligence Unit-India (FIU-IND) etc without any intimation/advice to me/us. (7) If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold the AMC / the Fund, their appointed service providers or representatives responsible. I/We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and authorization of my/our transactions. (8) The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him/them for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. (9) I/We do not have any existing Micro Investments which together with the current Micro Investment application will result in aggregate investments exceeding Rs. 50,000/- in a year (applicable to Micro Investment investors only). (10) I / We confi rm that I / We are not United States person(s) under the laws of United States or residents(s) of Canada as de ned under the applicable laws of Canada. (11) I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO AND/ OR ANY INDICATIVE YIELD BY THE FUND / AMC / ITS DISTRIBUTOR FOR THIS INVESTMENT. Applicable to NRIs only : I / We confi rm that I am / we are Non-Residents of Indian Nationality / Origin and that the funds are remitted from abroad through approved banking channels or from my / our NRE / NRO / FCNR Account. I / We confi rm that the details provided by me / us are true and correct. ASBA Authorizations: 1) I/We hereby undertake that I/We am/are an ASBA applicant(s) as per the applicable provisions of the SEBI (Issue of Capital and Disclosure Requirements) (Amendment) Regulations, ) In accordance with ASBA process provided in the SEBI (Issue of Capital and Disclosure Requirements) (Amendment) Regulations, 2011, I/We authorize (a) the SCSB to do all acts as are necessary to make an application in the NFO of the BNP Paribas Balanced Fund, including uploading of application details, blocking the amount to the extent mentioned above in the Details of Bank Account for Blocking of Funds or unblocking of funds in the bank account maintained with the SCSB specifi ed in the form, transfer of funds to the nominated BNP Paribas Mutual Fund Bank Account on receipt of instruction from the Registrar to the New Fund Offer after fi nalisation of allotment entitling me/us to receive Units on such transfer of funds. (b) Registrar to the BNP Paribas Mutual Fund to issue instructions to the SCSB to remove the block on the funds in the bank account specifi ed in the ASBA Form, upon allotment and to transfer the requisite money to BNP Paribas Mutual Fund s nominated Bank account. 3) In case the amount available in the bank account specifi ed in the ASBA Form is insuffi cient for blocking the amount equivalent to the application money, the SCSB shall reject the application. 4) If the DP ID, Benefi ciary ID or PAN furnished by me/us in the ASBA Form is incorrect or incomplete, the application shall be rejected and BNP Paribas Asset Management Private Limited. (Investment Manager to BNP Paribas Mutual Fund), their appointed service providers and the SCSBs representatives shall not be liable for losses, if any. Date D D M M Y Y Y Y Place Sign Here Sole/First Applicant/Guardian/Karta Note: To be signed as per mode of operation of the Bank Account Sign Here Second Applicant Sign Here Third Applicant ASBA INSTRUCTIONS A. Self Certifi ed Syndicate Bank (SCSB): SCSB is a bank which offers the facility of applying through the ASBA process. For the complete list of SCSBs with details of controlling/designated branches please refer to websites : and B. Investors Demat Account details: It is mandatory to provide Demat Account details in ASBA Application Form as the units will be credited in the Demat Account specifi ed in ASBA Application Form. Applicant should ensure that the Demat Accounts specifi ed in the ASBA Application Form are active i.e. not frozen or suspended. Applicant to note that in case the DP-ID, benefi ciary account no. or PAN provided in the ASBA Application Form are incorrect or do not match with the records of Depositories (NSDL or CDSL), the applications will be rejected. C. Bank Account details: Applicants should provide Bank Account details from which the application amount is to be blocked along with Bank & Branch name and application amount. Applicant should maintain suffi cient balance in the Bank Account in which application amount is to be blocked. In case of insuffi cient funds in the specifi ed Bank Account the application is liable to be rejected. Applicant can make application for maximum upto 5 ASBA Applications from a single Bank Account with a Bank. It may be noted that no application will be accepted for subscription to units of schemes of BNP Paribas Mutual Fund where such application is accompanied by Third Party Payment other than the exceptions allowed. Third-Party Payment means a payment made through instruments issued from a bank account other than that of bank account of fi rst named applicant/investor. Please refer to point no. 8 of the General Instructions for details. D. Please refer to point no. 18 of General Instructions. 22

5 SIP AUTO DEBIT (ECS / NACH / SI) FACILITY : REGISTRATION CUM MANDATE FORM Please read the Instructions before completing this Application Form. DISTRIBUTOR / BROKER INFORMATION [refer instruction 1(b)] Name and AMFI Reg. No. Sub Agent s Name and AMFI Reg. No. Bank Serial No. SBFS Serial No. Sub-Broker Code EUIN ARN- ARN- (As allotted by ARN holder) Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors assessment of various factors including the service rendered by the distributor. I/We hereby confi rm that the EUIN box has been intentionally left blank by me / us as this transaction is executed without First / Sole Applicant any interaction or advice by the employee / relationship manager / sales person of the above distributor / sub broker or / Guardian / POA Holder notwithstanding the advice of in-appropriateness, if any, provided by the employee / relationship manager / sales person / Authorised Signatory of the distributor / sub broker. 1. APPLICANT S INFORMATION (Mandatory, if left blank, the application is liable to be rejected) Second Applicant / Guardian / POA Holder Name of Sole / First Unit Holder First Name Middle Name Last Name Folio No. Application No. Mode of Holding (please ) Single Joint Anyone or Survivor PAN (First Unit Holder) Mobile No SYSTEMATIC INVESTMENT PLAN DETAILS Scheme / Plan / Option ID Third Applicant / Guardian / POA Holder Frequency (Please ) Weekly SIP Monthly SIP Quarterly SIP (Calender Quarter i.e. January, April, July and October) SIP Date Weekly SIP (Monday to Friday): Day of transfer Monthly and Quarterly SIP: Preferred Debit Date (Any date except 29th, 30th and 31st) Enrolment Period Regular From M M / Y Y Y Y To M M / Y Y Y Y Perpetual From M M / Y Y Y Y To 0 1 / Each SIP Amount R No. of instalments Total Amount R First SIP Instalment via: Cheque No. Drawn on Bank Branch A/c. No. SIP Top UP (Optional) Top Up Amount* Amount in multiples of R 500 only Top Up Frequency Half Yearly Yearly* 3. DECLARATION & SIGNATURES This is to inform that I/We have registered for the RBI's Electronic Clearing Service (Debit Clearing) / Direct Debit /Standing Instruction and that my payment towards my investment in BNP Paribas Mutual Fund shall be made from my/our below mentioned bank account with your bank. I/We authorise the representative carrying this ECS (Debit Clearing) / Direct Debit / Standing Instruction mandate Form to get it verifi ed & executed. I/We hereby declare that the particulars given above are correct and express my willingness to make payments referred above through participation in ECS (Debit Clearing) / Direct Debit /Standing Instruction. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I/We would not hold the user institution responsible. I /We will also inform BNP Paribas Mutual Fund/ BNP Paribas Asset Management India Limited, about any changes in my bank account. I/We have read and agreed to the terms and conditions mentioned overleaf. I/We undertake to keep suffi cient funds in the funding account on the date of execution of standing instruction. I hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold the Mutual Fund or the Bank responsible. If the date of debit tomy/ our account happens to be a non business day as per the Mutual Fund, execution of the SIP will happen on the day of holiday and allotment of units will happen as per the Terms and Conditions listed in the Offer Document of the Mutual Fund. Bank shall not be liable for, nor be in default by reason of, any failure or delay in completion of its obligations under this Agreement, where such failure or delay is caused, in whole or in part, by any acts of God, civil war, civil commotion, riot, strike, mutiny,revolution, fi re, fl ood, fog, war, lightening, earthquake, change of Government policies, Unavailability of Bank's computer system, force majeure events, or any other cause of peril which is beyond Bank s reasonable control and which has the effect of preventing the performance of the contract by the Bank. I/We acknowledge that no separate intimation will be received from Bank in case of non-execution of the instructions for any reasons whatsoever. SIGNATURE AS PER BNP PARIBAS MUTUAL FUND (To be signed as per Mode of Holding) SIGNATURE AS PER BANK RECORDS (To be signed by all holder if Mode of Operation in the Bank is Joint) Sole/First Applicant/Guardian Second Applicant (Not applicable if fi rst applicant is minor) Third Applicant (Not applicable if fi rst applicant is minor) Sole / First Holder Second Holder Third Holder

6 SIP - INSTRUCTIONS 1. The SIP Enrolment Form should be completed in English and in Block Letters only. Please tick ( ) in the appropriate box ( ), where boxes have been provided. The SIP Enrolment Form, complete in all respects, should be submitted to any of the Offi cial Points of Acceptance of Transactions. 2. A single SIP Enrolment Form can be used for one Scheme / Plan / Option / SIP Date only. Investor should use separate forms for more than one Scheme / Plan / Option. 3. Existing unit holders are required to submit only the SIP Enrolment Form. Existing unit holders should note that unit holders details and mode of holding (single, jointly, anyone or survivor) will be as per the existing folio number. 4. New investors who wish to enroll for SIP are required to fi ll the Common Application Form and SIP Application Form. New investors are advised to read the Key Information Memorandum(s) and Scheme Information Document carefully before investing and the same are available with the ISCs / distributors. 5. To start an SIP, an investor has to provide the specifi ed number of postdated cheques in advance, for the minimum amount for the facility chosen by the investor (as given in instruction no. 9). The 1st cheque can be of any date but the subsequent cheques should be of the same amount and same date. The enrolment form should reach at least 30 days before the due date at any of the Offi cial Points of Acceptance of Transactions. 6. Under SIP the investor can for a continuous period of time invest a fi xed amount at regular intervals for purchasing additional Units of the Scheme(s) at the Applicable NAV, subject to applicable Load. 7. SIP offers investors the following three facilities and the minimum application amount for SIP will be as follows: (i) Weekly Systematic Investment Facility (WSIF): R 500/- and in multiples of R 1/- thereafter on a weekly basis by providing in advance a minimum of 6 post-dated cheques. (ii) Monthly Systematic Investment Facility (MSIF): R 500/- and in multiples of R 1/- thereafter on a monthly basis by providing for a minimum of 6 installments. (iii) Quarterly Systematic Investment Facility (QSIF): R 500/- and in multiples of R 1/- thereafter on a quarterly basis by (i.e., January, April, July, October) providing for a minimum of 6 installments. Accordingly, the provision for SIP facility which requires the standing instruction for SIP {including Post Dated Cheque (PDC) or Auto Debit / NACH} to be such that the criteria of minimum application amount of that particular scheme in which investment is intended via SIP facility is complied with, shall no longer be applicable. 8. In case the date falls on a Non-Business Day or falls during a book closure period, the immediate next Business Day will be considered for the purpose of determining the applicability of NAV subject to the realization of cheques. Units will be allotted on the above applicable dates. If both from date and SIP date is not ticked in the SIP investment application, 7th of every month shall be considered as default SIP date. 9. Applicable Load Structure for SIP Entry Load: Nil The provisions of Exit Load as applicable to the normal investments as on the date of enrollment will be applicable to fresh SIP investments. 10. Separate SIP Enrolment Forms are required to be fi lled for WSIF, MSIF and QSIF. 11. The cheques should be drawn in favour of the respective Scheme / Plan / Option and crossed A/c Payee Only and must be payable at the locations where applications are submitted at the Offi cial Points of Acceptance of Transactions. Unit holders must write the SIP Enrolment Form number, if any, on the reverse of the cheques accompanying the SIP Enrolment Forms. Outstation cheques will not be accepted and applications accompanied by such cheques are liable to be rejected. No cash, money orders or postal orders will be accepted. 12. Returned cheque(s) will not be presented again for collection. In case of bouncing of cheque / no credit receipt for SIP for 3 consecutive times, such SIP application shall be cancelled. In case, the reason mentioned by the respective bank for returning the cheque is A/C Closed, the SIP will stand cancelled immediately on receipt of this feed from the respective banks. 13. Investors have the right to discontinue the SIP facility at any time by sending a written request to any of the Offi cial Points of Acceptance of Transactions. Such notice should be received at least 14 days prior to the due date of the next cheque. On receipt of such request, the SIP facility will be terminated and the remaining un-utilised post-dated cheque(s) will be returned to the investor. 14. The enrolment period of SIP will be as per the instruction given by the investor. In case it is instructed to continue SIP Till instruction to discontinue the SIP is submitted investors will have to submit SIP cancellation request to discontinue the SIP. In case of any ambiguity in enrolment period or if the end date of SIP is not mentioned, the default period for SIP will be 5 years. 15. In case investor has not selected any frequency or incase of any ambiguity, monthly frequency shall be considered as default option. Similarly, 7th day shall be considered as default execution date. In case of any ambiguity in the enrolment form, the SIP enrolment request shall be liable to be rejected. 16. In case of minor application, AMC will register standing instructions till the date of the minor attaining majority, though the instructions may be for a period beyond that date. Prior to minor attaining majority, AMC shall send advance notice to the registered correspondence address advising the guardian and the minor to submit an application form along with prescribed documents to change the status of the account to major. The account shall be frozen for operation by the guardian on the day the minor attains the age of majority and no fresh transactions shall be permitted till the documents for changing the status are received. 17. The Trustee / AMC reserves the right to change / modify the terms of the SIP. The above load structure will be in force till further notice. This load structure is subject to change and may be imposed / modifi ed prospectively from time to time, as may be decided by the Trustee / AMC from time to time. 18. If no start date is mentioned by the investors, the SIP will be registered to start from a period after 30 days from the date of submission of the application form. The terms and conditions for availing the 'Top-Up SIP' shall be as follows: 1. Frequency for Top-Up SIP (i) For Monthly SIP: a. Half Yearly Top-Up SIP: Under this option, the amount of investment through SIP installment shall be increased by amount chosen / designated by Investor post every 6th (sixth) SIP installment. b. Yearly Top-Up SIP: Under this option, the amount of investment through SIP installment shall be increased by amount chosen / designated by Investor post every 12th (twelfth) SIP installment. (ii) For Quarterly SIP: a. Yearly Top-Up SIP: Under this option, the amount of investment through SIP installment shall be increased by amount chosen / designated by Investor post every 4th (fourth) SIP installment. In case the investor who has registered under Quarterly SIP opts for Half Yearly Top-Up SIP, the same shall be registered and processed as Yearly Top-Up SIP. 2. Minimum Top-Up SIP Amount: R 500 and in multiples of R 500 thereafter. 3. Default Top-Up SIP Frequency and amount: In case the investor fails to specify either the frequency or amount for Top-Up SIP, the same shall be deemed as Yearly Top-Up SIP and R 500 respectively and the application form shall be processed accordingly. In case the investor fails to specify both, i.e. the frequency for Top-Up SIP and amount for Top-Up SIP, the application form may be processed as conventional SIP, subject to it being complete in all other aspects. 4. Top-Up SIP shall be available for SIP Investments only through NACH / ECS (Debit Clearing) / Direct Debit Facility only. Top-Up SIP shall not be available under SIP facility availed by Investors through Standing Instructions / PDCs or investing through Channel Partners or through Stock Exchange Platforms. 5. Top-Up SIP facility shall not be available under Weekly SIP option. 6. Top-Up SIP facility can be availed by the investors only at the time of registration of SIP or renewal of SIP. 7. Investors should note that for modifi cation of any of the details of Top-Up SIP details, the existing SIP with Top-Up facility shall be required to be cancelled and investor would be required to enroll a fresh SIP with modifi ed Top-Up facility details. Declaration: I / We hereby declare that the particulars provided in this mandate are correct and complete and hereby agree to participate in the NACH / ECS / Direct Debit / Standing Instructions (SI) and make payments through the NACH platform according to the terms and conditions thereof. I / We further hereby agree and acknowledge that I / we will not hold the AMC and/or responsible for any delay and / or failure in debiting my bank account for reasons not attributable to the negligence and / or misconduct on the part of the AMC I / We hereby declare and confi rm that, irrespective of my / our registration of the above mobile number in the 'DO NOT DISTURB (DND)', 'or in any similar register maintained under applicable laws, now or subsequent to the date hereof, I / We hereby consent to the Bank communicating with me/us in any manner whatsoever on the said mobile number with respect to the transactions carried out in my / our aforementioned bank account(s). I / We hereby agree to abide by the terms and conditions that may be intimated to me / us by the AMC / Bank with respect to the NACH / ECS / Direct Debit / SI from time to time. Authorisation to Bank: This is to inform that I / We have registered for ECS / NACH (Debit Clearing) / Direct Debit / SI facility and that the payment towards my / our investments in the Schemes of BNP Paribas Mutual Fund shall be made from my / our above mentioned bank account with your Bank. I / We hereby authorize the representatives of BNP Paribas Asset Management India Private Limited, Investment Manager to BNP Paribas Mutual Fund carrying this mandate form to get it verifi ed and executed. I / We authorize the Bank to debit my / our above-mentioned bank account for any charges towards mandate verifi cation, registration, transactions, returns, etc, as applicable for my / our participation in NACH / ECS / Direct Debit / SI. 24

7 ELECTRONIC CLEARING SYSTEM (ECS) / AUTO DEBIT / NACH / STANDING INSTRUCTION (SI) - TERMS & CONDITIONS SIP payment through Electronic Clearing System (ECS) / NACH / Auto Debit / Standing Instruction (SI) of the Reserve Bank of India (RBI) 1. This facility is offered to the investors having bank accounts in select cities mentioned below. The bank branch through which you want your SIP Auto-Debits to take place should be a participant in local MICR Clearing. 2. SIP Auto-Debit Facility is offered to you using RBI s Electronic Clearing System (ECS) / Auto Debit / NACH / Standing Instruction (SI) for effecting SIP payments. By opting for this facility, you agree to abide by the terms and conditions of ECS / Auto debit / SI Facility of Reserve Bank of India. 3. New investors need to submit: a. SIP Application Form for the chosen Scheme duly fi lled in b. Completed SIP Auto Debit Facility Form c. Cheque for the First Installment of the SIP d. Cancelled copy of the cheque of the bank whose details have been mentioned in the ECS / Auto debit bank account. 4. These details have to be submitted at least 30 days before the fi rst SIP installment date. In addition all the other corporate / other documents as mentioned in the common application form needs to be submitted. 5. Existing investors need to mention the Folio Number and submit the following: a. Completed SIP Auto Debit Facility Form b. Cheque for the First Installment of the SIP c. Cancelled copy of the cheque of the bank whose details have been mentioned in the ECS / Auto debit bank account. These details have to be submitted at least 30 days before the fi rst SIP installment date. 6. Investors can opt for SIP on a monthly or quarterly basis under the ECS / NACH / Auto debit / SI facility. The fi rst debit will be basis the SIP cheque. In case the chosen date falls on a Non- Business Day, the SIP will be processed on the immediate next Business Day. 7. The cheque should be drawn in favour of the respective Scheme / Plan / Option as applicable and crossed A/c. Payee Only. 8. A separate SIP Enrolment Form must be fi lled for each Scheme / Plans, Unit Holders must write the Folio Number on the reverse of the Cheque accompanying the Application Form. 9. BNP Paribas Mutual Fund, its Investment Manager, Registrar and other service providers responsible if the transaction is delayed or not effected or your bank account is debited in advance or after the specifi c SIP date due to various clearing cycles of ECS / NACH / Auto debit / SI. 10. BNP Paribas Asset Management India Private Limited, its registrars and other service providers shall not be held responsible and liable for any damages / compensation / loss incurred by the investor. For any reason whatsoever the investor assumes the entire risk of using this facility and takes full responsibility. 11. Please refer the Key Information Memorandum for applicable NAV, Risk Factors, Load and other information before investing. 12. BNP Paribas Mutual Fund / AMC, reserves the right to reject any application inter alia in the absence of fulfi llment of regulatory requirements, fulfi llment of requirements of the Scheme Information Document / Addendum(s) and furnishing necessary information to the satisfaction of the Mutual Fund / AMC. 13. BNP Paribas Asset Management India Private Limited and its service providers reserve the right to disclose the details of the Investors and their transactions using the SIP Auto Debit Facility to third parties for the purposes of verifi cation and execution of the Auto Debit Facility as also for the purpose of law enforcement, fraud prevention, audit and inspection requirement etc. In case of discontinuance of business by the existing ECS / NACH / Auto debit / SI Service Provider / change in ECS / NACH / Auto debit / SI Service Provider, the investor may be required to resubmit a completed SIP Auto Debit Facility Form to the AMC. 14. The Investor undertakes and agrees that the SIP Auto Debit Facility requested for via this Form is subject to acceptance of the terms and conditions mentioned in the Key Information Memorandum / Scheme Information Document. 15. If you wish to change / modify the SIP amount, you will have to submit the following documents atleast 1 month in advance: a. New SIP Auto Debit Facility Form with revised SIP amount b. Letter to discontinue the SIP existing amount 16. If you have already an existing investor and have provided the post dated cheques and you now wish to avail of the ECS / NACH / Auto debit / SI facility, you will need to submit the following documents atleast 1 month in advance: a. SIP Auto Debit Facility Form b. Letter to discontinue and return the existing post dated cheques. 17. Change in debit bank account details for SIP transactions: Investors are requested to note that in case they wish to change their bank account details for any of their ongoing SIP, the following documents should be submitted atleast 30 days in advance of the next SIP debit date: (a) A request letter to change the existing bank account details for SIP transaction mentioning old and new bank account details and details of ongoing SIP transaction. (b) New SIP Auto Debit Facility Form with new bank account details. 18. In case of rejection of SIP form for any reason whatsoever, the Mutual Fund will not accept/ entertain any request for refund of proceeds of fi rst cheque that would have been processed. 19. Investors agree that the AMC may discontinue the SIP facility for any investor / folio at its discretion and can advise bank to cancel SI incase one or more debits are rejected and funds not received for any reason. Instructions applicable to Standing Instructions (SI) 1. The facility of giving Standing Instruction (SI) is available only to the investors having bank account with HDFC Bank Limited. 2. The facility of SI shall be available to opt all the frequencies of SIP i.e. weekly, monthly & quarterly. 3. Investors should submit the SIP application form atleast 15 working days prior to the intended date of SIP at any of the offi cial point of acceptance of the transactions of the Fund. If the form is not submitted prior to atleast 15 working days, the SIP instalment shall be deducted from the same date of the next month. 4. In case of insuffi cient balance in the investor s account on the date of SIP, the transaction shall be rejected and the AMC / Bank will not retry further to debit the amount from the investor s bank account. 5. Investors are requested to provide information of start date & end date of SIP clearly on the application form. Forms will multiple tick options or forms with ambiguity shall be liable to be rejected. Further, no alteration should be made on the SI form. Alternations, if any shall be counter signed / authenticated by the investor, otherwise form shall be liable to be rejected. Further, incomplete form or mutilated form shall be liable to be rejected. 6. Investors should note that the signature provided on the Section - Authorisation of Bank Account Holder should match exactly with that of signature of the investor in the bank s record otherwise the bank shall reject the SI registration request. 7. Investors wishing to cancel / discontinue the SIP would need to give a written request to the Bank / AMC / RTA stating that they wish to discontinue the SIP and request the Bank not to deduct any further amount from their account atleast 15 working days prior to the next execution date. Forms shall be submitted at any of offi cial point of acceptance of the transactions of the Fund. 8 For Investors who have availed Standing Instructions facility with HDFC Bank Ltd. and wish to change their bank account details for any of their ongoing SIP, the following documents should be submitted atleast 30 days in advance of the next SIP debit date: (a) A request letter to discontinue such ongoing SIP transaction. (b) New SIP Auto Debit Facility Form with new bank account details In case of 3 successive rejections of ECS / NACH / Auto Debit / SI by the respective bank, the SIP shall be cancelled. In case, the reason mentioned in the feed from the respective bank for rejection of ECS / NACH / Auto Debit / SI request is A/C Closed, the SIP will stand cancelled immediately on receipt of this feed. The Trustee / AMC reserve the right to change / modify the terms of the SIP from time to time on prospective basis Locations for SIP Auto Debit Facility via ECS (Debit Clearing) : As listed by RBI from time to time ** Please note that for locations in Tamil nadu, the transactions will be processed through Chennai RECS. ## Please note that for Tumkur, the transactions will be processed through Bangalore RECS. Going forward for these locations refer to the MICR list published. The cities in the list may be modifi ed / updated / changed / removed at any time in future entirely at the discretion of BNP Paribas Mutual Fund without assigning any reason or prior notice. If any city is removed from the list, SIP instructions for investors in such cities via ECS (Debit) route will be discontinued without prior notice. 25